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HomeMy WebLinkAboutPermit Building 2014-1-21 • SPRINGFIELD Fifth St r CITY OF SPRINGFIELD 225'Springfield,OR 97477 7::"—r._ ...>. *' Phone: 541-726-3753 `OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00056 www.springfeld-or.gov permitcenter @spdngfield-or.gov PROJECT STATUS: Issued ISSUED: 01/21/2014 EXPIRES: 07/20/2014 STATUS DATE: 01/21/2014 APPLIED: 01/09/2014 SITE ADDRESS: 1084 LAUREL AVE,Springfield,OR 97478 • SCOPE: Deck ASSESOR'S PARCEL NO: 1802061309208 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New elevated deck OWNER: D'AMBROSIO LOUISE Phone Number: ADDRESS: 1084 LAUREL SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor DAVALOS DREAM CONSTRUCTION LLC GCB 197049 06/01/2014 541-726-1109 INSPECTIONS REQUIRED • Inspections 1110 Footing Footing: After trenches are excavated. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. By signature, I state and agree,that I have carefully examined the completed application and do hereby certify that all - information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein,and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street,that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all time during construction. 11 • Owner onContractor Signature Date • NOTICE:: ATTENTION: Oregon law requires you to • follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by NY 1&0 DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility Notification • Center is 1-800-332-2344). • Spdngfield Building Permit 1/21/2014 10:21119AM • Page 1 of 1 S QRINGFIELD-` - CITY OF SPRINGFIELD i,,.a 225 Fifth St . � TRANSACTION RECEIPT Springfh St 97477 OREGON 541-726-3753 811-SPR2014-00056 www springfield-or.gov 1084 LAUREL AVE permitcenter@springfield-or.gov RECEIPT NO: 2014000124 RECORD NO:811-SPR2014-00056 DATE:01/21/2014 X014.1.ffg1tllCirtW1, m ;:51 f 'l w _ ,Sri rACCOUNTCODE/TRANSCODE . =1':_�l t o o State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 -1099 9.60 Structural Building Permit Fee 224-00000-425602 1002 80.00 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 """'• "_ "" AMOUNT PAID- PYMENTiaFlPE �-PAYORI�--cnsNfER.luRSOT+ � �, COMMENTS - _._�_.�t.: _ �, Cash DAVALOS DREAM CONSTRUCTION 93.60 TOTAL PAID: 93.60 • SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St \ OREGON TRANSACTION RECEIPT Spdngfield,OR 97477 541-726-3753 811-SPR2014-00056 www.springfield-or.gov 1084 LAUREL AVE permitcenter©springfield-or gov RECEIPT NO: 2014000048 RECORD NO:811SPR2014-00056 DATE:01/09/2014 Ie7n.Ye1.71infin-" ?` n y,` e3.,rnACCOUNTiCODE/TRANSiCODE };.:1E26 W AMOUNTUUE;3g.t Structural Plan Review Fee Residential 224-00000-425602 1061 52.00 TOTAL DUE: 52.00 PAYMENTsT(PE- PAYOR cASHIER:,CCARW NTER- COMMENTS - AMOUNTPAID , Cash DAVALOS DREAM CONSTRUCTION 52.00 TOTAL PAID: 52.00 Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY CITY OF SPRINGFIELD.OREGON i t. Permit no.: �/ v._ 225 Fifth Street•Springfield,OR97477•P11(541)726-3753•FAX(541)726-3639 - oaeGOM Date: /1/9/ This permit is issued under OAR 918 460-0030.Permits expire if work is not started within 180 days o issuat r if work is suspended for 180 days. ,. LOCAL;GOVERNMENT APPROVAL _ :FEE SCHEDULE This project has final land-use approval. 1-Valuation infortiiatiou-- Signature: — Date: -- a Job description: This project has DEQ approval. ( ) A,6".../ �7"�v�i � "Z,� Signature: Date: Occupancy it?/u _ -- - Zoning approval verified: El Yes ❑No Construction type: v'-3 Property is within flood plain: ❑Yes ❑No Square feet: CATEGORY'OF'CONSTRUCTION, - Cost per square foot: `f Other information:I 1I Residential I ❑Government 0 JOB SITE INFORMATION AND LOCATION- : Type of Heat: Job site address: ION 1.0 UYeA Ave Energy Path: ��� City: $rfob�d I State: OR I ZIP:01411 ❑new ['alteration )l'Srlaition Subdivision: I Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference: leozz613I Taxlot: (1) 920 e- Total valuation: I $ 2� '7 • PROPERTY-,OWNER - 2 Building fees Name: 1 \GA OY}j (a)Permit fee(use valuation table): S i Address: ktyB4 Lau re l kJ • (b)Investigative fee(equal to[2a]): $ City:dark( ciQici State: OR I ZIF'C31411 (c)Reinspection(S per hour): Phone:l J - - (number of hours x fee per hour) 5tJ1` 12ta- Ig1�1 Fax: E-mail: - (d)Enter 12%surcharge(.12 x[2a+2b+2c]): f C-}-cf-g (e)Subtotal of fees appve(2a through 2d): S Building Owner or Owner's agent authorizing this application: :3;Plan review fees. (a)Plan review(65%x permit fee[2a1): S t7Z� Sign here: (b)Fire and life safety(40%x permit fee[2a1): s • ❑This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3W: S me or a member of my immediate family,and is exempt from licensing 4;Miscellaneous fees requirements under ORS 701.010. -- a : CONTRACTOR INSTALLATION-; (a)Seismic fee, I%(.01 x permit fee[2a]): S \_` (b)Technology fee,5%(.05 x permit fee[2a1): $ f`- Business name:'j)(A\D,�("fj �YP[1,Mn. .rcl8krOc Lon - - - , b I TOTAL fees and surcharges(2e+3e+4a+4b): 5/,/ Address: 2J4SC E. Sk reQ- City: S y-M 1Vok State: 0 R, I ZIPPt1t-k1l Phone:G'.[I- )40q Fax: - - E-mail: l lOSL',cid n5—'J7S O�O.b�•('$rvl ( Pctz.1 ct/l- 771 o Th- CCB license no.: 1R-1 I 104 v�' Print name: SPhOG DaJaks 61,(]XC.\o.._) �y Signature: ".:.SUB-CONTRACTOR!INFORMATION _ Name CCB License q Phone Number Electrical Plumbing Mechanical •